Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.58 / $3,397.00 / $7,629.00	Facility		$100.58	$3,397.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $100.58 / $354.00	Professional		$38.21	$100.58	$354.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,410.00 / $6,763.00 / $10,432.00	Facility		$5,410.00	$6,763.00	$10,432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $69.64 / $113.33	Professional		$36.36	$69.64	$113.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.28 / $104.37 / $165.33	Professional	50	$54.28	$104.37	$165.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $88.70 / $170.40	Professional		$43.05	$88.70	$170.40
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $95.00 / $99.24	Professional		$80.75	$95.00	$99.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $68.31 / $68.31	Professional		$68.31	$68.31	$68.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,983.00 / $6,832.00	Facility		$1,347.00	$3,983.00	$6,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $103.96 / $177.75	Professional		$69.59	$103.96	$177.75